21D0214196 CLIA NUMBER - HARFORD PRIMARY CARE LLC

Laboratory Demographics

  • CLIA Code: 21D0214196
  • Facility Name: HARFORD PRIMARY CARE LLC
  • Facility Address: 542 W MCPHAIL ROAD
    BEL AIR, MD
    ZIP 21014
  • Facility Phone: 443 843-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHILPI KHOSLA
  • NPI Number: 1194797670
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 21D0214196
LAB Type Physician Office
Facility Name HARFORD PRIMARY CARE LLC
Street 542 W MCPHAIL ROAD
City BEL AIR
State MD
ZIP 21014
Phone 443 843-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2024
Certificate Expiration Date 6/30/2026
Facility Type Physician Office
Lab Director SHILPI KHOSLA

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This page was last updated on: 9/29/2025